Provider Demographics
NPI:1780949016
Name:HEARING SPECIALISTS OF YARDLEY
Entity type:Organization
Organization Name:HEARING SPECIALISTS OF YARDLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-CERTIFIED AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCA-A, FAAA
Authorized Official - Phone:215-493-2333
Mailing Address - Street 1:24 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-493-2333
Mailing Address - Fax:215-784-9729
Practice Address - Street 1:24 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-493-2333
Practice Address - Fax:215-784-9729
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING SPECIALISTS OF YARDLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-12
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000188L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty